D.A.R.E. America
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Drug Abuse Resistance Education (stylized as D.A.R.E.) is an education program that seeks to prevent use of
controlled drugs The prohibition of drugs through sumptuary law, sumptuary legislation or religious law is a common means of attempting to prevent the Recreational drug use, recreational use of certain intoxicating substances. While some drugs are illegal to p ...
, membership in
gang A gang is a group or society of associates, friends or members of a family with a defined leadership and internal organization that identifies with or claims control over territory in a community and engages, either individually or collective ...
s, and violent behavior. It was founded in Los Angeles in 1983 as a joint initiative of then- LAPD chief
Daryl Gates Daryl Gates (born Darrel Francis Gates; August 30, 1926 – April 16, 2010) was the Chief of the Los Angeles Police Department (LAPD) from 1978 to 1992. His length of tenure in this position was second only to that of William H. Parker. As Chief ...
and the Los Angeles Unified School Districthttp://www.dare.com/home/about_dare.asp , the official website of the D.A.R.E. program. as a
demand In economics, demand is the quantity of a good that consumers are willing and able to purchase at various prices during a given time. The relationship between price and quantity demand is also called the demand curve. Demand for a specific item ...
-side drug control strategy of the American
War on Drugs The war on drugs is a global campaign, led by the United States federal government, of drug prohibition, military aid, and military intervention, with the aim of reducing the illegal drug trade in the United States.Cockburn and St. Clair, 1 ...
. The program's mascot is Daren the Lion. Its American headquarters is in Inglewood, California. DARE expanded to the United Kingdom in 1995.


History and purpose

DARE program materials from 1991 describe it as "a drug abuse prevention education program designed to equip elementary school children with skills for resisting
peer pressure Peer pressure is the direct or indirect influence on peers, i.e., members of social groups with similar interests, experiences, or social statuses. Members of a peer group are more likely to influence a person's beliefs, values, and behavior. A g ...
to experiment with tobacco, drugs, and alcohol." It was created as a part of the
war on drugs The war on drugs is a global campaign, led by the United States federal government, of drug prohibition, military aid, and military intervention, with the aim of reducing the illegal drug trade in the United States.Cockburn and St. Clair, 1 ...
in the United States, with the intention of reducing the demand for drugs through education that would make drug use unappealing. The program was conducted by uniformed police officers who visited classrooms. The program was developed in 1983 on the initiative of
Daryl Gates Daryl Gates (born Darrel Francis Gates; August 30, 1926 – April 16, 2010) was the Chief of the Los Angeles Police Department (LAPD) from 1978 to 1992. His length of tenure in this position was second only to that of William H. Parker. As Chief ...
, chief of the
Los Angeles Police Department The Los Angeles Police Department (LAPD), officially known as the City of Los Angeles Police Department, is the municipal police department of Los Angeles, California. With 9,974 police officers and 3,000 civilian staff, it is the third-large ...
, in collaboration with Harry Handler, superintendent of the Los Angeles Unified School District. A local program at first, DARE spread rapidly in the 1980s. In 1988, Ronald Reagan proclaimed the first National DARE Day. At the program's height, it was in 75% of American school districts. It was funded by the federal government in the ''Drug-Free Schools and Communities Act of 1986'', which mentions DARE by name. In 2002, DARE had an annual budget of over $10 million. Curriculum consisted of lectures on the harmful consequences of drug and alcohol use, how to refuse drugs, building self-esteem and support networks, and alternatives to drugs. Curriculum also condemned graffiti and tattoos because they were considered to be the result of peer pressure. These lessons were derived from SMART, an anti-drug program under development at the
University of Southern California , mottoeng = "Let whoever earns the palm bear it" , religious_affiliation = Nonsectarian—historically Methodist , established = , accreditation = WSCUC , type = Private research university , academic_affiliations = , endowment = $8.1 ...
, but they were adapted to be delivered by police officers instead of educators. Officers were also encouraged to spend time with students informally, such as playing basketball or chatting with students over lunch. Officers would sometimes arrive in sports cars that police had seized from drug dealers, which was intended to demonstrate that drugs lead to losing coveted possessions. Scientific studies cast doubt on the effectiveness of DARE starting in the early 1990s, with many concluding that DARE did nothing to reduce illicit drug use. One study found that DARE students were actually more likely to use drugs. Yet the program remained popular among politicians and many members of the public for decades, in part because of a common intuitive judgement that the program should work. Funding for DARE was greatly reduced in the 2000s because of its poor performance at reducing drug use, particularly following a
General Accounting Office The U.S. Government Accountability Office (GAO) is a legislative branch government agency that provides auditing, evaluative, and investigative services for the United States Congress. It is the supreme audit institution of the federal gover ...
report in 2003 which found "no significant differences in illicit drug use" caused by DARE. After decades of antagonism toward DARE because of its ineffectiveness, curriculum was changed starting in 2009. The new program is called "Keepin' it REAL" and focuses less on lectures and more on interactive activities, such as practicing refusal and saying no to pressure. It is now less explicitly focused on opposition to drugs, with the broader aim of teaching good decision-making.


Use of children as informants

"Children are asked to submit to DARE police officers sensitive written questionnaires that can easily refer to the kids' homes" and that "a DARE lesson called 'The Three R's: Recognize, Resist, Report' … encourages children to tell friends, teachers or police if they find drugs at home." In addition, "DARE officers are encouraged to put a 'DARE Box' in every classroom, into which students may drop 'drug information' or questions under the pretense of anonymity. Officers are instructed that if a student 'makes a disclosure related to drug use,' the officer should report the information to further authorities, both school and police. This apparently applies whether the 'drug use' was legal or illegal, harmless or harmful. In a number of communities around the country, students have been enlisted by the DARE officer as informants against their parents." "In the official DARE Implementation Guide, police officers are advised to be alert for signs of children who have relatives who use drugs. DARE officers are first and foremost police officers and thus are duty-bound to follow up leads that might come to their attention through inadvertent or indiscreet comments by young children." As a result, children sometimes confide the names of people they suspect are illegally using drugs. In October 2010, an elementary school student in North Carolina brought cannabis to school to turn his parents in.


Studies on effectiveness


1992 – Indiana University

Researchers at
Indiana University Indiana University (IU) is a system of public universities in the U.S. state of Indiana. Campuses Indiana University has two core campuses, five regional campuses, and two regional centers under the administration of IUPUI. *Indiana Universi ...
, commissioned by Indiana school officials in 1992, found that those who completed the DARE program subsequently had significantly higher rates of
hallucinogenic drug Hallucinogens are a large, diverse class of psychoactive drugs that can produce altered states of consciousness characterized by major alterations in thought, mood, and perception as well as other changes. Most hallucinogens can be categorized ...
use than those not exposed to the program.


1994 – RTI International

In 1994, three
RTI International Research Triangle Institute, trading as RTI International, is a nonprofit organization headquartered in the Research Triangle Park in North Carolina. RTI provides research and technical services. It was founded in 1958 with $500,000 in funding fr ...
scientists evaluated eight previous quantitative analyses on DARE's efficacy that were found to meet their requirements for rigor. The researchers found that DARE's long-term effect could not be determined, because the corresponding studies were "compromised by severe control group attrition or contamination". However, the study concluded that in the short-term "DARE imparts a large amount of information, but has little or no impact on students' drug use", and that many smaller, interactive programs were more effective. After the 1994 Research Triangle Institute study,Jeremy Travis, director of the National Institute of Justice â€
The D.A.R.E. Program: A Review of Prevalence, User Satisfaction, and Effectiveness
October 1994 (PDF document) Quote:''"While not conclusive, the findings suggest that D.A.R.E. may benefit from using more interactive strategies and emphasizing social and general competencies. A revised D.A.R.E. curriculum that includes more participatory learning was piloted in 1993 and is being launched nationwide this fall."''
Christopher L. Ringwalt, Jody M. Greene, Susan T. Ennett, Ronaldo Iachan, Richard R. Clayton, Carl G. Leukefeld
Past and Future Directions of the D.A.R.E. Program: An Evaluation Review.
Research Triangle Institute Research Triangle Institute, trading as RTI International, is a nonprofit organization headquartered in the Research Triangle Park in North Carolina. RTI provides research and technical services. It was founded in 1958 with $500,000 in funding fr ...
. September 1994. Supported under Award # 91-DD-CX-K053 from the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice.
an article in the
Los Angeles Times The ''Los Angeles Times'' (abbreviated as ''LA Times'') is a daily newspaper that started publishing in Los Angeles in 1881. Based in the LA-adjacent suburb of El Segundo since 2018, it is the sixth-largest newspaper by circulation in the U ...
stated that the "organization spent $41,000 to try to prevent widespread distribution of the RTI report and started legal action aimed at squelching the study". The director of publication of the ''
American Journal of Public Health The ''American Journal of Public Health'' is a monthly peer-reviewed public health journal published by the American Public Health Association that covers health policy and public health. The journal was established in 1911 and its stated miss ...
'' told ''
USA Today ''USA Today'' (stylized in all uppercase) is an American daily middle-market newspaper and news broadcasting company. Founded by Al Neuharth on September 15, 1982, the newspaper operates from Gannett's corporate headquarters in Tysons, Virgi ...
'' that "DARE has tried to interfere with the publication of this. They tried to intimidate us."Drug prevention placebo: How D.A.R.E. wastes time, money and police.
Elliott, Jeff. ''
Reason Magazine ''Reason'' is an American libertarian monthly magazine published by the Reason Foundation. The magazine has a circulation of around 50,000 and was named one of the 50 best magazines in 2003 and 2004 by the ''Chicago Tribune''. History ''Reaso ...
'', March, 1995.


1995 – California Department of Education

In 1995, a report to the California Department of Education by Joel Brown Ph. D. stated that none of California's drug education programs worked, including DARE "California's drug education programs, DARE being the largest of them, simply doesn't work. More than 40 percent of the students told researchers they were 'not at all' influenced by drug educators or programs. Nearly 70 percent reported neutral to negative feelings about those delivering the antidrug message. While only 10 percent of elementary students responded to drug education negatively or indifferently, this figure grew to 33 percent of middle school students and topped 90 percent at the high school level." In some circles educators and administrators have admitted that DARE in fact potentially increased students exposure and knowledge of unknown drugs and controlled substances, resulting in experimentation and consumption of narcotics at a much younger age. Criticism focused on failure and misuse of tax-payer dollars, with either ineffective or negative result state-wide. Denise Hamilton â€
Hamilton, Denise. The Truth About D.A.R.E.; The big-bucks antidrug program for kids doesn't work
– Los Angeles New Times, March 20, 1997


1998 – National Institute of Justice

In 1998, a grant from the National Institute of Justice to the
University of Maryland The University of Maryland, College Park (University of Maryland, UMD, or simply Maryland) is a public land-grant research university in College Park, Maryland. Founded in 1856, UMD is the flagship institution of the University System of M ...
resulted in a report to the NIJ, which among other statements, concluded that "DARE does not work to reduce substance use."Lawrence W. Sherman,
Denise Gottfredson Denise Claire Gottfredson (née Denise Claire Ruff) is an American criminologist and professor in the department of criminal justice and criminology at the University of Maryland, College Park. She is an expert on school violence and juvenile de ...
, Doris MacKenzie, John Eck, Peter Reuter, and Shawn Bushway â€
Preventing Crime: What Works, What Doesn’t, What’s Promising.
Report for the National Institute of Justice. Chapter 5. School-based Crime Prevention 1998. Quote: ''In summary, using the criteria adopted for this report, D.A.R.E. does not work to reduce substance use. The programs (sic) content,
teaching method A teaching method comprises the principles and methods used by teachers to enable student learning. These strategies are determined partly on subject matter to be taught and partly by the nature of the learner. For a particular teaching method to ...
s, and use of uniformed police officers rather than teachers might each explain its weak evaluations. No scientific evidence suggests that the D.A.R.E. core curriculum, as originally designed or revised in 1993, will reduce substance use in the absence of continued instruction more focused on social competency development. Any consideration of the D.A.R.E.'s potential as a drug prevention strategy should place D.A.R.E. in the context of instructional strategies in general. No instructional program is likely to have a dramatic effect on substance use. Estimates of the effect sizes of even the strongest of these programs are typically in the mid- to high-teens. D.A.R.E.'s meager effects place it at the bottom of the distribution of effect sizes, but none of the effects are large enough to justify their use as the centerpiece of a drug prevention strategy. Rather, such programs should be embedded within more comprehensive programs using the additional strategies identified elsewhere in this chapter.''
DARE expanded and modified the social competency development area of its curriculum in response to the report. Research by Dr. Dennis Rosenbaum in 1998 found that DARE graduates were more likely than others to drink alcohol,
smoke tobacco Tobacco smoking is the practice of burning tobacco and ingesting the resulting smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with pipes and cigars. The practice is believed ...
and use
illegal drug The prohibition of drugs through sumptuary legislation or religious law is a common means of attempting to prevent the recreational use of certain intoxicating substances. While some drugs are illegal to possess, many governments regulate the ...
s. Psychologist Dr. William Colson asserted in 1998 that DARE increased drug awareness so that "as they get a little older, they (students) become very curious about these drugs they've learned about from police officers." The scientific research evidence in 1998 indicated that the officers were unsuccessful in preventing the increased awareness and curiosity from being translated into illegal use. The evidence suggested that, by exposing young impressionable children to drugs, the program was, in fact, encouraging and nurturing drug use. Studies funded by the National Institute of Justice in 1998, and the
California Legislative Analyst's Office The Legislative Analyst's Office (LAO), located in Sacramento, California, is a nonpartisan government agency that has provided fiscal and policy advice to the California Legislature since 1941. The office is known for analyzing the state budget ...
in 2000 also concluded that the program was ineffective.


1999 – Lynam ''et al.''

A ten-year study was completed by Donald R. Lynam and colleagues in 2006 involving one thousand DARE graduates in an attempt to measure the effects of the program. After the ten-year period, no measurable effects were noted. The researchers compared levels of alcohol, cigarette, marijuana and the use of illegal substances before the DARE program (when the students were in sixth grade) with the post-DARE levels (when they were 20 years old). Although there were some measured effects shortly after the program on the attitudes of the students towards drug use, these effects did not seem to carry on long term.


2001 – Office of the Surgeon General

In 2001, the Surgeon General of the United States,
David Satcher David Satcher, (born March 2, 1941) is an American physician, and public health administrator. He was a four-star admiral in the United States Public Health Service Commissioned Corps and served as the 10th Assistant Secretary for Health, and t ...
M.D. Ph.D., placed the DARE program in the category of "Ineffective Primary Prevention Programs". The U.S. General Accounting Office concluded in 2003 that the program was sometimes counterproductive in some populations, with those who graduated from DARE later having higher than average rates of drug use (a boomerang effect).


2007 – ''Perspectives on Psychological Science''

In March 2007, the DARE program was placed on a list of treatments that have the potential to cause harm in clients in the APS journal, ''Perspectives on Psychological Science''.


2009 – Texas A&M

"The Social Construction of 'Evidence-Based' Drug Prevention Programs: A Reanalysis of Data from the Drug Abuse Resistance Education (DARE) Program," Evaluation Review, Vol. 33, No.4, 394–414 (2009). Studies by Dave Gorman and Carol Weiss argue that the DARE program has been held to a higher standard than other youth drug prevention programs. Gorman writes, "what differentiates DARE from many of the programs on evidence-based lists might not be the actual intervention but rather the manner in which data analysis is conducted, reported, and interpreted." Dennis M. Gorman and J. Charles Huber Jr. The
U.S. Department of Education The United States Department of Education is a Cabinet-level department of the United States government. It began operating on May 4, 1980, having been created after the Department of Health, Education, and Welfare was split into the Department ...
prohibits any of its funding to be used to support drug prevention programs that have not been able to demonstrate their effectiveness. Accordingly, DARE America, in 2004, instituted a major revision of its curriculum. The U.S.
Substance Abuse and Mental Health Services Administration The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services. It is charged with improving the quality and availability of treatment and rehabilitative services ...
(SAMHSA) identified alternative start-up regional programs, none of which have longevity nor have they been subjected to intense scrutiny.


Reception

The DARE program is consistent with the "zero-tolerance orthodoxy of current U.S. drug control policy." According to researcher Dr. D. M. Gorman of the Rutgers University Center of Alcohol Studies, it supports the ideology and the "prevailing wisdom that exists among policy makers and politicians." It also claims to meet the needs of stake holders such as school districts, parents, and law enforcement agencies. "DARE America also has been very successful in marketing its program to the news media through a carefully orchestrated
public relations Public relations (PR) is the practice of managing and disseminating information from an individual or an organization (such as a business, government agency, or a nonprofit organization) to the public in order to influence their perception. ...
campaign that highlights its popularity while downplaying criticism."Hamilton, Denise. The Truth About D.A.R.E.; The big-bucks antidrug program for kids doesn't work. Los Angeles New Times, March 20, 1997
Psychologists at the
University of Kentucky The University of Kentucky (UK, UKY, or U of K) is a public land-grant research university in Lexington, Kentucky. Founded in 1865 by John Bryan Bowman as the Agricultural and Mechanical College of Kentucky, the university is one of the state ...
concluded that "continued enthusiasm or DAREshows Americans' stubborn resistance to apply science to drug policy." Marsha Rosenbaum, who headed the West Coast office of the
Lindesmith Center The Lindesmith Center was an Open Society Institute project which has conducted research related to drug reform. It was founded in 1994 by Ethan Nadelmann with financial support from George Soros. The Center conducted some NIDA-funded studies on h ...
, a
drug policy reform Drug liberalization is a drug policy process of decriminalizing or legalizing the use or sale of prohibited drugs. Variations of drug liberalization include: drug legalization, drug re-legalization and drug decriminalization. Proponents of drug ...
organization, provided an opinion for a 1999
Village Voice ''The Village Voice'' is an American news and culture paper, known for being the country's first alternative newsweekly. Founded in 1955 by Dan Wolf, Ed Fancher, John Wilcock, and Norman Mailer, the ''Voice'' began as a platform for the cr ...
article, "In DARE's worldview, Marlboro Light cigarettes, Bacardi rum, and a drag from a joint are all equally dangerous. For that matter, so is snorting a few lines of cocaine." DARE "isn't really education. It's indoctrination."Gonnerman, Jennifer â€
Truth or D.A.R.E.: The Dubious Drug-Education Program Takes New York.
''
Village Voice ''The Village Voice'' is an American news and culture paper, known for being the country's first alternative newsweekly. Founded in 1955 by Dan Wolf, Ed Fancher, John Wilcock, and Norman Mailer, the ''Voice'' began as a platform for the cr ...
,'' April 7, 1999.
The article also stated, "Part of what makes DARE so popular is that participants get lots of freebies. There are fluorescent yellow pens with the DARE logo, tiny DARE dolls, bumper stickers, graduation certificates, DARE banners for school auditoriums, DARE rulers, pennants, DARE coloring books, and T-shirts for all DARE graduates." DARE has failed to fact check some articles on their website, promoting one news piece that was
satire Satire is a genre of the visual, literary, and performing arts, usually in the form of fiction and less frequently non-fiction, in which vices, follies, abuses, and shortcomings are held up to ridicule, often with the intent of shaming ...
, titled "Edible Marijuana Candies Kill 9 in Colorado, 12 at Coachella."


Responses to criticism


Motivation of the critics

DARE America has generally dismissed many criticisms and independent studies of its program, labeling them false, misleading, or biased. "DARE has long dismissed criticism of its approach as flawed or the work of groups that favor decriminalization of drug use," according to the ''New York Times'' in 2001. In a press release titled "Pro-drug Groups Behind Attack on Prevention Programs; DARE Seen as Target as Mayors' Conference Called to Combat Legalization Threat," DARE asserted that pro-drug legalization individuals and groups were behind criticisms of the program, which were portrayed as based on "vested interests" and "to support various individual personal agendas at the expense of our children." DARE has attacked critics for allegedly being motivated by their financial self-interest in programs that compete with DARE. It has charged that "they are setting out to find ways to attack our programs and are misusing science to do it. The bottom line is that they don't want police officers to do the work because they want it for themselves." Critics have also been dismissed as being jealous of DARE's success.Cauchon, Dennis. D.A.R.E. doesn't work: Studies find drug program not effective. ''USA Today'', October 11, 1993.
/ref>


Rebuttal of statistics

Ronald J. Brogan, New York City's DARE fundraiser and spokesman, said in 1999 "If you take German for 17 weeks, you're not going to speak German. The critics say the effect dissipates over the years. No shit, Sherlock." The article in which he was quoted observed that "DARE officials say the solution to this problem is not less DARE but more of it, and they urge cities to teach DARE in middle and high school." One leader explained that "I don't have any statistics for you. Our strongest numbers are the numbers that don't show up." The 1998 University of Maryland report presented to the U.S. National Institute of Justice stated, "Officials of DARE America are often quoted as saying that the strong public support for the program is a better indicator of its utility than scientific studies."


New curriculum

In 2009, DARE adopted the "''keepin' it REAL"'' curriculum. Rather than solely focusing on the perils of alcohol and other drugs, ''keepin' it REAL'' developed a 10-lesson curriculum that included aspects of European American, Mexican American, and African American culture integrated with culturally based narration and performance. The program was developed by Penn State researchers, who evaluated its effectiveness, though critics contend the program does not implement a long-term evaluation system. In 2013, the
Substance Abuse and Mental Health Services Administration The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services. It is charged with improving the quality and availability of treatment and rehabilitative services ...
ranked its "readiness for dissemination" at 1.5 out of 4. Two field
randomized controlled trial A randomized controlled trial (or randomized control trial; RCT) is a form of scientific experiment used to control factors not under direct experimental control. Examples of RCTs are clinical trials that compare the effects of drugs, surgical te ...
s showed the effectiveness of the multicultural ''keepin' it REAL'' for reducing substance use across grade levels and ethnic/racial groups, which highlights the importance of grounding substance use prevention programs in their audiences' cultural attitudes, values, norms, and beliefs. The second study "evaluated onset of drug use across and within ethnic groups and the ideal times to intervene" finding "a double dose of intervention in elementary and middle school was no more effective than middle school intervention alone." Following the passing of
Washington Initiative 502 Washington Initiative 502 (I-502) "on marijuana reform" was an initiative to the Washington State Legislature, which appeared on the November 2012 general ballot, passing by a margin of approximately 56 to 44 percent. Originally submitted to t ...
that legalized cannabis consumption in Washington state, the DARE program was changed in the state to remove cannabis messages from their year 5 curriculum, arguing "research has found that teaching children about drugs with which they have never heard of or have no real life understanding may stimulate their interest or curiosity about the substance."


Ironic response

T-shirts and other merchandise reading "D.A.R.E To Keep Kids Off Drugs" became popular as an
ironic Irony (), in its broadest sense, is the juxtaposition of what on the surface appears to be the case and what is actually the case or to be expected; it is an important rhetorical device and literary technique. Irony can be categorized into ...
item in drug culture and other
counterculture A counterculture is a culture whose values and norms of behavior differ substantially from those of mainstream society, sometimes diametrically opposed to mainstream cultural mores.Eric Donald Hirsch. ''The Dictionary of Cultural Literacy''. Hou ...
s starting in the 1990s. According to a report from ''
Vice A vice is a practice, behaviour, or habit generally considered immoral, sinful, criminal, rude, taboo, depraved, degrading, deviant or perverted in the associated society. In more minor usage, vice can refer to a fault, a negative character t ...
'', the program's appealing logo and acronym may unintentionally suggest one should dare to experiment with drugs. Reddit co-founder
Alexis Ohanian Alexis Kerry Ohanian ( hy, Ô±Õ¬Õ¥Ö„Õ½Õ«Õ½ Õ”Õ¥Ö€Õ« Õ•Õ°Õ¡Õ¶ÕµÕ¡Õ¶; born April 24, 1983) is an American internet entrepreneur and investor. He is best known as the co-founder and executive chairman of the social media site Reddit along with Ste ...
in a 2022 tweet referred to his sporting of the T-Shirt in 2019 with "What are you all wearing for Halloween this year?"


References


External links

*
DARE World

How to Start a DARE Program in your Community

International Association of Chiefs of Police, IACP

2003 U.S. General Accounting Office letter to Senator Richard J. Durbin

UK website

Training Center Minas Gerais / DARE Brazil (PROERD)

DARE Brazil (PROERD)

Official Keepin' It Real website

Alamo Area / Bexar County DARE

ASU's official Keepin' it REAL website

Drug Abuse Helpline
{{Authority control Health education in the United States Law enforcement in the United States American companies established in 1983 Drug rehabilitation History of drug control Law enforcement in England and Wales 1983 establishments in California